BETH MARIE BUGOS Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001340

License Status

NOT RENEWED

Business

First Name

BETH

Middle

MARIE

Last Name

BUGOS

Business Name

BETH MARIE BUGOS

Original Issue Date

03/03/2000

Effective Date

06/21/2002

Expiration Date

05/31/2002

City

BETTENDORF

State

Zip

52722

County

IOWA

Ever Disciplined

LastModifiedDate

09/11/2005